{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:21:01Z","timestamp":1777728061463,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This retrospective study evaluated the preliminary results of combining retrograde tibial intramedullary nail with lateral less invasive stabilization system for treating distal femoral fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>This retrospective analysis included 11 patients with distal femoral fractures who were treated with retrograde tibial intramedullary nail and less invasive stabilization system. The collected data included patient demographics, injury mechanism, surgery duration, intraoperative blood loss, bone union time, femoral\u2013tibial angle, visual analog scale scores, knee range of motion, Hospital for Special Surgery scores, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The surgery duration ranged from 83 to 115\u2009min, and blood loss varied from 120 to 210\u2009mL. Patients were monitored for 9 to 15 months, achieving complete bone healing and full weight-bearing within an average duration of 5.3\u2009\u00b1\u20090.8 months and 55.7\u2009\u00b1\u20096.5 days, respectively. At the final follow-up, the visual analog scale scores ranged from 0 to 3, and the femoral\u2013tibial angle measurement ranged from 169\u00b0 to 174\u00b0. The knee range of motion ranged from 120\u00b0 to 135\u00b0, and Hospital for Special Surgery scores ranged from 69 to 95. One patient developed a superficial incisional infection; no other complications were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The primary outcomes demonstrated that the retrograde tibial intramedullary nail\u2013less invasive stabilization system combination provides stable fixation with minimal surgical trauma, rapid recovery, and a low complication rate, leading to favorable outcomes in distal femoral fracture management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605251389747","type":"journal-article","created":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T00:14:17Z","timestamp":1761869657000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preliminary retrospective analysis of combined retrograde tibial intramedullary nail and lateral less invasive stabilization system for distal femoral fractures"],"prefix":"10.1177","volume":"53","author":[{"given":"Huiyun","family":"Deng","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tianlai","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weizhen","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weibin","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6041-4462","authenticated-orcid":false,"given":"Jin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"e_1_3_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.130"},{"key":"e_1_3_11_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-017-3665-1"},{"key":"e_1_3_11_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-023-05782-1"},{"key":"e_1_3_11_5_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00706"},{"key":"e_1_3_11_6_2","first-page":"e6483","article-title":"Dual plating of the distal femur: indications and surgical techniques","volume":"11","author":"Sain A","year":"2019","unstructured":"Sain A, Sharma V, Farooque K, et\u00a0al. 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